Fivestars Onlinecare | |
850 Euclid Aveneue Suite 1022 Cleveland OH 44114 | |
(216) 513-4540 | |
Not Available |
Full Name | Fivestars Onlinecare |
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Speciality | Internal Medicine |
Location | 850 Euclid Aveneue, Cleveland, Ohio |
Authorized Official Name and Position | Yazid Hussein (OWNER) |
Authorized Official Contact | 2165134540 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fivestars Onlinecare 7010 E Whitedove Ln Apt 203 Middleburg Heights OH 44130-8435 Ph: () - | Fivestars Onlinecare 850 Euclid Aveneue Suite 1022 Cleveland OH 44114 Ph: (216) 513-4540 |
NPI Number | 1881236560 |
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Provider Enumeration Date | 10/14/2019 |
Last Update Date | 10/14/2019 |
Medicare PECOS PAC ID | 9638503550 |
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Medicare Enrollment ID | O20200102000577 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881236560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Bilal M Ataya |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1386886851 PECOS PAC ID: 7214193457 Enrollment ID: I20120716000533 |
Provider Name | Yazid Hussein |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1407275027 PECOS PAC ID: 9234439696 Enrollment ID: I20161116002365 |
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